What is considered late puberty?

More and more children are appearing late puberty. Late puberty in a child should be taken care of because it may be due to diseases related to sex chroma, abnormal development of glands in the body.

Puberty marks the body of children who begin to develop completely and usually begin at the age of 7 to 13 with females, aged from 9 to 15 with males. At this time under the action of the lower hills and saline, the child's genital glands begin to increase the production of sex hormones (testosterone in boys and estrogens in girls) that act as sex characteristics of the child, such as breasts and ovaries in girls , muscles and testicles in boys.

Late puberty (also known as puberty delay) is a condition where puberty does not begin at the usual time. When girls over 13-14 years old and boys over 15-16 years old still do not show signs of puberty considered late puberty.

In females, late puberty manifests it as that do not develop at the age of 13, the menstrual cycle does not begin around the age of 16.

In men, late puberty is shown by signs such as testicles not growing larger at about the age of 14 or a period of delayed genital growth of more than 5 years.

• Inappropriate nutrition
• Due to chronic illness
• Girls have to do intense physical exercise regularly such as athletics or gymnastics, often starting puberty later than normal.
• Genital ins depletion: The sex glands in children (testicles in men and ovaries in females) produce little or no hormone production. Genital inscourse is divided into two categories:
  • Primary instalitation (also known as central genital failure or genital instaltal interest due to genital endeeration). The disease occurs due to problems with the sedular gland and the lower hills of the brain. Causes include genetic disorders, especially Turner syndrome (in women) and Klinefelter syndrome (in men); some auto-immune disorders; some developmental disorders; radiotherapy or chemotherapy; infection; surgery.
  • Secondary genital ins depletion: Causes include Kaliman syndrome, radiation, trauma, surgery in the brain or sedate glands, having tumors in the brain or sedate glands.

• Genetic factors;
• Chronic diseases
• Malnutrition, be it from eating disorders or chronic diseases
• Excessive exercise, e.g. professional athletes;
• Tumors or injuries affecting the glands;
• Hormone-related associations
• Heredity affects genital development.

Usually, the doctor will use short-term hormone therapy to treat:

• In boys, the doctor will replenish testosterone hormones by direct injection or using patches and topical gels
• In girls, the doctor will supplement the hormone estrogen or progesterone with oral medications or topical gels.

Family history: Helps doctors find causes such as abnormal eating habits (insize eating, psychological loss of appetite) and excessive exercise (marathon runners, gymnastics) that can lead to delayed puberty;

Blood test: Performed to measure hormone levels in the blood;

Chroma analysis: The analysis of chroma will be carried out to eliminate rare disorders;

X-ray: To check if the child's bones are growing slower than usual;

Ct or brain reactive imaging (MRI) to check the functioning of the sysathinal gland

Ultrasound to check if the ovaries and uterus develop as usual.

Children's Clinic – Share99 Times City International Health Hub currently has intensive examination services for pediatric endo noisy, including late puberty/early puberty.

As a key area of Share99 Health System, Pediatrics always brings satisfaction to customers and is highly appreciated by industry experts with:

• Gathering a team of leading doctors in Pediatrics:including leading experts, highly specialized (professors, associate professors, doctors, masters), experienced, used to work at large hospitals such as Bach Mai, 108.. The doctors are well-trained, professional, mind-centered, knowledgeable about the child's psychology. In addition to domestic pediatricians, pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) always pioneering the application of the latest and most effective treatment regimens.
• Comprehensive services:In the field of Pediatrics, Share99 provides a chain of continuous medical examination and treatment services from Newborn to Pediatrics and Vaccines,… according to international standards to take care of your baby's health with parents from birth to adulthood
• Intensive techniques:Share99 has successfully implemented many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery – skull, hematoma stem cell transplantation in cancer treatment.
• Professional care:In addition to understanding the young psychology, Share99 also pay special attention to the children's play space, help them play comfortably and get acquainted with the hospital environment, cooperate in treatment, improve the efficiency of medical examination and treatment.